Randy Kellenberger, DO - Medicare Emergency Medicine in Atchison, KS

Randy Kellenberger, DO is a medicare enrolled "Emergency Medicine" physician in Atchison, Kansas. His current practice location is 800 Ravenhill Dr, Emergency Department, Atchison, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 360-5320.

Randy Kellenberger is licensed to practice in Missouri (license number R9G92) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932186681.

Contact Information

Randy Kellenberger, DO
800 Ravenhill Dr, Emergency Department,
Atchison, KS 66002-9204
(913) 360-5320
Not Available



Physician's Profile

Full NameRandy Kellenberger
GenderMale
SpecialityEmergency Medicine
Location800 Ravenhill Dr, Atchison, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932186681
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 12/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7012817927
  • Enrollment ID: I20070827000381

Medical Identifiers

Medical identifiers for Randy Kellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932186681NPI-NPPES
242720654MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R9G92 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randy Kellenberger allows following entities to bill medicare on his behalf.
Entity NameSalem Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114177557
PECOS PAC ID: 7012801129
Enrollment ID: O20040210000857

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Entity NameTexas County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790740363
PECOS PAC ID: 9436041696
Enrollment ID: O20040401000307

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randy Kellenberger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randy Kellenberger, DO
16410 Riggs Rd,
Stilwell, KS 66085-9128

Ph: (913) 681-3217
Randy Kellenberger, DO
800 Ravenhill Dr, Emergency Department,
Atchison, KS 66002-9204

Ph: (913) 360-5320

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Emergency Medicine Doctors in Atchison, KS

Dr. Justin Lee Theleman, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Ravenhill Dr, Atchison, KS 66002
Phone: 913-367-2131    Fax: 913-674-2040

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